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Insurance Executive

0 - 1 years

0 Lacs

Hyderabad, Telangana

Posted:1 month ago| Platform: Indeed logo

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Skills Required

management processing billing verification coordination support compliance regulations data development updating efficiency reporting analysis reports metrics portal reconciliation authorization monitoring collaboration schedule

Work Mode

Work from Office

Job Type

Full Time

Job Description

Claims Management: Processing and managing insurance claims efficiently, ensuring timely resolution and accurate billing. Insurance Verification and Coordination: Verifying patient insurance eligibility and coverage, and coordinating with insurance companies to obtain necessary authorizations or referrals. Patient Support: Handling patient inquiries regarding insurance coverage, claims, and billing. Compliance and Regulations: Adhering to all relevant regulations and guidelines, including those related to state programs and managed care organizations. Data Management: Maintaining accurate records of insurance claims, patient information, and insurance company interactions. Policy and Procedure Development: Designing, updating, and implementing policies and procedures related to insurance operations to ensure efficiency and accuracy. Reporting and Analysis: Preparing periodic reports on insurance discounts, rejections, and other relevant metrics. TPA Portal Management: Managing all Third-Party Administrator (TPA) portals. Financial Reconciliation: Handling billing department tasks, including updating and reconciling implant bills. Referral and Authorization Management: Obtaining and reviewing referrals and authorizations for treatments. Monitoring and Follow-up: Monitoring the status of insurance claims and following up with insurance companies to ensure timely payment and resolution. Collaboration: Working with various departments, including the billing department, patient accounts, and medical staff, to ensure smooth insurance operations. Job Type: Full-time Pay: ₹10,000.00 - ₹15,000.00 per month Schedule: Day shift Experience: insurance: 1 year (Preferred) Work Location: In person Speak with the employer +91 9703586000

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Navjeevan hospital

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